CO 10.03CERTIFICATE OF OCCUPANCY
Date: September 30, 2003 Building Permit: 33272
Name of Owner: Fridley Medical Center Zoning District: R-1
Address of Owner: 7675 Madison Street NE, Fridley, MN 55432 Occupancy Class: B
Address of Building: 7675 Madison Street NE, Fridley, MN 55432
Tenant: CONVERT CONFERENCE ROOM TO EXAM ROOMS
This certifies that we have inspected the alterations at the above address, located on Part of Outlot 1, Melody
Manor 4' Addition, Fridley, Minnesota and find that the completion of the construction complies to the best of
our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota
relating thereto, and permission is hereby given for the occupancy of said area, in whole, i the manner and for
the purposes specified.
Date: �6
IF 1?r)m TT nU KVT
Oficial
IF THE USE OR CHARACTER OF THE EXISTING OCCUPANCY CHANGES, A NEW CERTIFICATE MUST BE ISSUED
Enforcement and administration of the Minnesota State Building Code is a public service and is of necessity limited in nature. Consequently, this
certificate of occupancy is not to be construed or relied upon as a warranty, guarantee, or representation on the part of the city that the construction
or finished product covered under this certificate is necessarily in conformance with the SBC or other applicable construction standards. Further, the
city assumes no responsibility or liability for damages of any nature allegedly arising out of the issuance of this certificate of occupancy.
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Final
CERTIFICATE OF OCCUPANCY CHECKLIST
CONSTRUCTI N TYPE yT
Date 4?o , 2003
Name/Address of Owner
TENANT /D
Address of Building
Legalo
Building Permit No.
Jam/
Zoning
',Occup Class_
STIPULATIONS DATE NEEDED TO COMPLETE
Received / Approved
/g v
OFFICIAL'S SIGNATURE
Fire Department
.35-M
Building Official
13"S `�
Plumbing Insp 1-303(10
Electrical Insp
Heating Insp
Planning Coord
Planning Assist